Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.89 / $25.90 / $95.65	Facility	26	$25.89	$25.90	$95.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $112.30 / $214.31	Professional		$89.51	$112.30	$214.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.27 / $36.79 / $104.20	Professional	26	$26.27	$36.79	$104.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.61 / $79.63 / $155.88	Professional	TC	$63.61	$79.63	$155.88
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $89.64 / $94.16 / $187.34	Facility	26	$89.64	$94.16	$187.34
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.99 / $173.98 / $812.81	Professional		$97.99	$173.98	$812.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $56.31 / $240.49	Professional	26	$32.63	$56.31	$240.49
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $69.95 / $133.97 / $572.32	Professional	TC	$69.95	$133.97	$572.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.59 / $71.70 / $96.84	Professional	26	$43.59	$71.70	$96.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.05 / $181.08 / $297.45	Professional	TC	$134.05	$181.08	$297.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $197.83 / $402.96	Professional		$104.74	$197.83	$402.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.42 / $57.42 / $112.04	Professional	26	$36.42	$57.42	$112.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.09 / $143.16 / $288.27	Professional	TC	$69.09	$143.16	$288.27
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $124.70 / $222.09	Professional		$48.93	$124.70	$222.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $295.73 / $394.13	Professional		$148.28	$295.73	$394.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.69 / $93.12 / $122.10	Professional	26	$46.69	$93.12	$122.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $101.58 / $202.59 / $265.64	Professional	TC	$101.58	$202.59	$265.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $65.70 / $303.45	Professional		$55.03	$65.70	$303.45
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $90.13 / $187.34 / $187.34	Facility	26	$90.13	$187.34	$187.34
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $181.58 / $812.81	Professional		$108.90	$181.58	$812.81
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $35.84 / $60.30 / $240.49	Professional	26	$35.84	$60.30	$240.49
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $75.58 / $134.29 / $572.32	Professional	TC	$75.58	$134.29	$572.32
United Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $147.00 / $291.13	Professional		$103.20	$147.00	$291.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.26 / $51.70 / $106.15	Professional	26	$32.26	$51.70	$106.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.54 / $113.18 / $204.23	Professional	TC	$73.54	$113.18	$204.23